TY - JOUR
T1 - Periimplant bone response in human-retrieved, clinically stable, successful, and functioning dental implants after a long-term loading period
T2 - A report of 17 cases from 4 to 20 years
AU - Iezzi, Giovanna
AU - Piattelli, Adriano
AU - Mangano, Carlo
AU - Degidi, Marco
AU - Testori, Tiziano
AU - Vantaggiato, Giovanni
AU - Fiera, Elisabetta
AU - Frosecchi, Massimo
AU - Floris, Pierluigi
AU - Perroni, Roberto
AU - Ravera, Lorenzo
AU - Moreno, Gerardo Gómez
AU - De Martinis, Emanuele
AU - Perrotti, Vittoria
PY - 2016/6/1
Y1 - 2016/6/1
N2 - Objective: This study aimed at a histologic and histomorphometric analysis of the periimplant tissues and bone-titanium interface reactions in successfully osseointegrated, clinically stable, and immobile human titanium dental implants retrieved after a long loading period. Materials and Methods: In the last 30 months (2013-2015), 21 implants, retrieved from individuals for different causes after a loading period ranging from 4 to 20 years, were sent to the Implant Retrieval Center, University of Chieti-Pescara, Italy. In 4 cases, almost all the bone had been lost during the retrieval, whereas in the remaining 17 cases, mineralized bone was still present. Results: Around the majority of the implants, mature compact bone with few marrow spaces was found. The trabecular bone, constituted by a few thin bone trabeculae, was in a periimplant location around only a few implants. A high percentage of bone-implant contact (BIC) (comprised between 32 ± 4.1% and 83 ± 2.9%) was present. In almost all implants, the space within the threads was almost completely filled by compact lamellar bone or by a thin layer of bone. Close and tight contact between bone and implant surface was observed in all specimens with no gaps or connective tissue at the interface. Conclusions: All implants appeared to be well integrated in the surrounding mineralized bone, and all of them showed adequate boneto- implant contact percentages.
AB - Objective: This study aimed at a histologic and histomorphometric analysis of the periimplant tissues and bone-titanium interface reactions in successfully osseointegrated, clinically stable, and immobile human titanium dental implants retrieved after a long loading period. Materials and Methods: In the last 30 months (2013-2015), 21 implants, retrieved from individuals for different causes after a loading period ranging from 4 to 20 years, were sent to the Implant Retrieval Center, University of Chieti-Pescara, Italy. In 4 cases, almost all the bone had been lost during the retrieval, whereas in the remaining 17 cases, mineralized bone was still present. Results: Around the majority of the implants, mature compact bone with few marrow spaces was found. The trabecular bone, constituted by a few thin bone trabeculae, was in a periimplant location around only a few implants. A high percentage of bone-implant contact (BIC) (comprised between 32 ± 4.1% and 83 ± 2.9%) was present. In almost all implants, the space within the threads was almost completely filled by compact lamellar bone or by a thin layer of bone. Close and tight contact between bone and implant surface was observed in all specimens with no gaps or connective tissue at the interface. Conclusions: All implants appeared to be well integrated in the surrounding mineralized bone, and all of them showed adequate boneto- implant contact percentages.
KW - Bone-to-implant contact
KW - Histomorphometry
KW - Osseointegration
KW - Removed implants
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U2 - 10.1097/ID.0000000000000415
DO - 10.1097/ID.0000000000000415
M3 - Article
AN - SCOPUS:84961393209
VL - 25
SP - 380
EP - 386
JO - Implant Dentistry
JF - Implant Dentistry
SN - 1056-6163
IS - 3
ER -